EX-99.04 11 0011.txt FORM OF GLIATECH PROXY CARD 1 EXHIBIT 99.04 FORM OF GLIATECH PROXY CARD GLIATECH INC. PROXY SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS OF THE COMPANY FOR THE SPECIAL STOCKHOLDERS MEETING ON ___ __, 2000 The undersigned hereby constitutes and appoints Thomas O. Oesterling, Ph.D., Robert P. Pinkas and William A. Clarke, and each of them, his true and lawful agents and proxies with full power of substitution in each, to represent the undersigned at the special meeting of stockholders of Gliatech Inc., to be held at the Embassy Suites, Beachwood, 3775 Park East Drive, Beachwood, Ohio, on ____________ ____, 2000, at 9:00 a.m., and at any adjournments or postponements thereof, as follows and in accordance with their judgment upon any other matters coming before said meeting. YOU ARE ENCOURAGED TO SPECIFY YOUR CHOICES BY MARKING THE APPROPRIATE BOXES, SEE REVERSE SIDE, AND SHARES REPRESENTED BY THIS PROXY WHEN PROPERLY EXECUTED WILL BE VOTED AS DIRECTED, OR IF DIRECTIONS ARE NOT INDICATED, WILL BE VOTED IN ACCORDANCE WITH THE BOARD OF DIRECTORS RECOMMENDATIONS. THE PROXIES CANNOT VOTE YOUR SHARES UNLESS YOU SIGN AND RETURN THIS CARD. |SEE REVERSE| (CONTINUED AND TO BE SIGNED ON THE OTHER SIDE) | SIDE | 2 PLEASE DATE, SIGN AND MAIL YOUR PROXY CARD BACK AS SOON AS POSSIBLE! SPECIAL MEETING OF STOCKHOLDERS GLIATECH INC. ______, 2000 \/ PLEASE DETACH AND MAIL IN THE ENVELOPE PROVIDED \/ A [X] PLEASE MARK YOUR VOTES AS IN THIS EXAMPLE. FOR AGAINST ABSTAIN THE BOARD OF DIRECTORS RECOMMENDS 1. Adopt the Agreement and Plan of [ ] [ ] [ ] A VOTE FOR PROPOSAL 1. Merger, dated May 29, 2000, as amended, among Gliatech Inc., Guilford Pharmaceuticals Inc. and St. John Development Corp., pursuant to which each share of common stock of Gliatech automatically will convert into 1.38 shares of common stock of Guilford, with cash being paid in lieu of fractional shares. 2. In their discretion to vote upon such other business as may properly come before the meeting. THE SHARES REPRESENTED BY THIS PROXY WILL BE VOTED AS DIRECTED IN THIS PROXY. IF NO SPECIFIC INSTRUCTIONS ARE GIVEN, THE SHARES REPRESENTED BY THIS PROXY WILL BE VOTED "FOR" ADOPTION OF THE MERGER AGREEMENT AND IN THE BEST DISCRETION OF THE PROXY HOLDERS AS TO OTHER MATTERS. Signature of Owner ____________________ Signature of Joint Owner ___________________ Dated ___________, 2000 Please sign exactly as your name appears hereon. If stock is jointly held, each should sign. When signing as attorney, executor, administrator, trustee or guardian please give full title as such.